Medicare Enrolled

Dr. Michael Kayal, RPA-C

Surgical Physician Assistant · Franklin Lakes, NJ
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Low-engagement
784 FRANKLIN AVE, Franklin Lakes, NJ 07417
2015600711
In practice since 2010 (15 years)
NPI: 1477868487 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Kayal from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Kayal

Dr. Michael Kayal is a surgical physician assistant in Franklin Lakes, NJ, with 15 years of NPI registration. Based on federal Medicare data, Dr. Kayal performed 5,409 Medicare services across 536 unique beneficiaries.

Between the years covered by Open Payments, Dr. Kayal received a total of $2,158 from 26 pharmaceutical and/or device companies across 89 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in surgical physician assistant. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Kayal is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 15 years in practice ▲ Top 1% volume in NJ $2,158 industry payments

Medicare Practice Summary

Medicare Utilization ↗
5,409
Medicare services
Top 1% in NJ for surgical physician assistant
536
Unique beneficiaries
$13
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~361 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Romosozumab injection (Evenity) for osteoporosis 4,200 $8 $14
Hymovis intra-articular injection
An injection of Hymovis, a hyaluronan derivative, administered directly into a joint space.
408 $13 $38
Injection, methylprednisolone acetate, 40 mg 191 $6 $50
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
159 $67 $400
Ultrasound-guided large joint aspiration or injection
This procedure uses ultrasound imaging to guide the removal of fluid from or the injection of medication into a large joint.
73 $81 $2,474
Trigger point injection, 1-2 muscles
A procedure involving the injection of medication into one or two specific muscles to treat trigger points.
66 $35 $1,000
Zoledronic acid injection, 1 mg
An injection of zoledronic acid administered at a dose of 1 mg.
61 $7 $42
Ultrasound guidance for needle placement
Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure.
52 $44 $2,200
Knee X-ray, 3 views
An X-ray imaging test of the knee joint that captures three different angles to evaluate the bones and surrounding structures.
47 $32 $750
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
26 $89 $500
Drug injection, under skin or into muscle
A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle.
25 $9 $500
Joint injection, major joint
Removal of fluid from a large joint and/or injection of medication into the joint space.
20 $53 $1,965
Office visit, established patient (10-19 min)
An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition.
16 $43 $300
Total knee replacement 14 $152 $37,500
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
14 $84 $400
X-ray of lower and sacral spine, 2-3 views
An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area.
13 $31 $375
Shoulder X-ray, 2+ views
An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures.
13 $27 $400
Total hip replacement
Surgical procedure to replace the thigh bone and hip joint with artificial components.
11 $153 $39,375
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
0.5% high complexity
94.2% medium
5.3% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$2,158
Total received (2021-2024)
Avg $540/year across 4 years
Top 11% in NJ for surgical physician assistant
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
26
Companies
89
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$1,840 (85.2%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$318 (14.8%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$278
2023
$453
2022
$752
2021
$675

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Stryker Corporation
$73
DePuy Synthes Sales Inc.
$72
Fidia Pharma USA Inc.
$43
Ferring Pharmaceuticals Inc.
$34
Orthofix Medical, Inc.
$22
Cumberland Pharmaceuticals, Inc.
$17
Amgen Inc.
$16
Top 3 companies account for 68.0% of 2024 payments
All-time payments by company (2021-2024) ›
Alexion Pharmaceuticals, Inc.
$379
DePuy Synthes Sales Inc.
$248
Horizon Therapeutics plc
$187
Stryker Corporation
$150
Fidia Pharma USA Inc.
$148
Zimmer Biomet Holdings, Inc.
$125
Orthofix Medical, Inc.
$95
Radius Health, Inc.
$93
Pacira Therapeutics, Inc.
$86
Kowa Pharmaceuticals America, Inc.
$84
Ferring Pharmaceuticals Inc.
$80
SANOFI-AVENTIS U.S. LLC
$79
Amgen Inc.
$74
Ultragenyx Pharmaceutical Inc.
$71
GE HealthCare
$67
UCB, Inc.
$32
Avanos Medical
$27
SeaPearl East, Inc
$22
Cumberland Pharmaceuticals, Inc.
$17
KCI USA, Inc.
$16
Endo Pharmaceuticals Inc.
$14
PFIZER INC.
$14
Trilliant Surgical LLC.
$13
Smith+Nephew, Inc.
$12
Bioventus LLC
$12
Royal Biologics, Inc.
$10
Top 3 companies account for 37.8% of all-time payments
Associated products mentioned in payments ›
ACTICOAT · Arsenal Ankle 10 Hole 1/3 Tubular Plate · Bonescalpel · CALDOLOR · Cimzia · Crysvita · DUEXIS · EUFLEXXA · EVENITY · Fibrinet · HYMOVIS · MAKO · MONOVISC · ORTHOVISC · PENNSAID · PREVENA · Physio-Stim · RAYOS · REYVOW · SEGLENTIS · STRENSIQ · SYNVISC-ONE · Seglentis · Strensiq · TRIVISC SODIUM HYALURONATE · Tymlos · XIAFLEX · Zilretta · mymobility Platform
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (85%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for a surgical physician assistant in Franklin Lakes?
Compare surgical physician assistants in the Franklin Lakes area by procedure volume, costs, and industry payment transparency.
Browse surgical physician assistants nearby

Geographic Context

Surgical physician assistants within 10 mi
907
Per 100K population
95.0
County median income
$123,715
Nearest hospital
RAMAPO RIDGE BEHAVIORAL HEALTH HOSPITAL
2.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Kayal is a mixed practice specialist, with above-average Medicare volume (top 1% in NJ), with low-engagement industry engagement in the top 11% of NJ peers, with 15 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Kayal experienced with romosozumab injection (evenity) for osteoporosis?
Based on Medicare claims data, Dr. Kayal performed 4,200 romosozumab injection (evenity) for osteoporosis services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Kayal receive payments from pharmaceutical companies?
Yes. Dr. Kayal received a total of $2,158 from 26 companies across 89 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Kayal's costs compare to other surgical physician assistants in Franklin Lakes?
Dr. Kayal's average Medicare payment per service is $13. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Kayal) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →